Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,570.40 / $10,715.19	Facility		$190.55	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $269.15 / $691.83	Professional		$102.33	$269.15	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,981.07	Facility		$707.95	$1,995.26	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $489.78	Professional		$104.71	$229.09	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $117.49	Facility		$97.72	$104.71	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $251.19 / $21,379.62	Facility		$91.20	$251.19	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $457.09	Professional		$117.49	$234.42	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $489.78	Professional		$120.23	$251.19	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $478.63	Facility		$100.00	$100.00	$478.63
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $302.00 / $575.44	Professional		$100.00	$302.00	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $933.25 / $2,951.21	Facility		$316.23	$933.25	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $457.09	Professional		$102.33	$223.87	$457.09